Individual
DR. ELAINE ELIZABETH COONROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
CHAPEL HILL TEACCH CENTER, CB# 6305, CHAPEL HILL, NC 27599-6305
(919) 966-4684
(919) 966-4003
Mailing address
100 RENEE LYNN CT, CARRBORO, NC 27510-6511
(919) 966-4684
(919) 966-4003
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3372
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3372
NC
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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